Is it worth the promise of rapid weight loss worth 80% of your stomach to be removed?
It was for Remi Bader. The influencer made titles Wednesday after discovering that a front of weight loss procedure helped him pour over 100 pounds within a year-old came with a “brutal” recovery process.
The post spoke to Dr. Christine Ren-Fielding, Head of Bariatric Surgery Division in NYU Langone Health, to obtain complete inclusion of single anastomosis of duodenal-ileal bypass anastomosis.
What is Sadi’s weight loss procedure?
Sadi is a type of bariatric surgery that combines two procedures: sleeve gastrectomy and duodenal circuit breaker.
During the surgery, the doctors first explained in the field first remove part of the stomach. Then they cut a intestinal section, disconnect it and connect a portion of the intestine further below the digestive tract.
“You are cutting the distance the food should travel from your stomach to your colon so as not to absorb as much calories as possible,” she said. “You’re not digesting so much and you are eating less.”
Who is the ideal candidate for Sadi’s operation?
In an interview with Self magazine, Bader revealed that her surgeon recommended Sadi because of her eating disorder.
Ren-Fielding said Sadi is “one of the best options” for people with excess eating disorders as it helps reduce food intake and limits calorie absorption during a binge.
“Also good for people who have hundreds of pounds to lose because it offers aspect of absorption,” she said.
For patients with heavy weight issues, Ren-Fielding noted that other procedures, such as sleeve gastritomy (where part of the stomach is removed), may not be sufficient due to their low metabolism.
“What you have to do is add a component where the intestines are not absorbing as much calories as far as fat,” she said.
How much weight can you expect to lose after Sadi?
Ren-Fielding said patients usually lose about 50% of their total body weight after undergoing procedure.
“It is double what would give you ozepic, and lasts for many years,” she said. “Very very very, very stable.”
How does Sadi compare with other weight loss operations?
Ren-Fielding said Sadi exceeds other bariatric surgeries, such as stomach bypass and sleeve gastrectomy, when it comes to weight loss.
“Likes like bypass -II stomach plus, or plus -sleeved gastrectomy,” she said.
However, she said there are some weaknesses, especially in terms of misuse.
“Not only are you not absorbing fat, you are not soaking so much protein and you are not absorbing so much vitamins,” Ren-Fielding said.
This can be problematic for patients who are not diligent for protein and their vitamin, noted it.
Sadi can also cause changes in your intestinal movements.
“When you cut the distance of your intestinal length, then you are not very well digesting fat,” Ren-Fielding said. “When that greedy fat passes through your gut, it comes out and smells very bad. It can be oily and greasy, and it can be frequent.”
How is the recovery process?
Ren-Fielding said Sadi’s recovery is generally “quite easy”, with most patients staying in the hospital for just two or three days.
Once at home, she recommended that patients gradually restore food, starting with high protein juices for two to three weeks, followed by cleaned foods, and eventually softer foods to prevent complications.
“If someone goes home and starts trying to eat a hamburger or sandwich, they will have terrible problems,” Ren-Fielding said. “Most people are not eating solid for a few weeks.”
It was not all the quiet navigation for Bader.
After she received the surgery, the model told herself that she spent “hours, hours, hours, hours, jumping up” while in healing.
Despite being dismissed from the hospital three days after crossing the knife, Bader said she continued to vomit for six weeks, during which she tried to eat or drink.
“In fact I can’t explain how terrible it was,” Bader said, mentioning that after surgery, she fell into a “very deep, deep depression” and “wanted to die.”
A post-op, Bader said her eating has improved.
“I’m still fighting and having those thoughts, but I can’t do so physically because I have no room for it. You can’t drink and eat within the same 30 minutes,” she said
What lifestyle changes are needed after Sadi?
“It requires a little more self-care to avoid possible complications and nutritional deficiencies,” Ren-Fielding said.
After the procedure, she said patients should take a multivitamin, iron, calcium, vitamin B-complex and vitamin.
Patients also need to be aware of their diet.
“I had a patient who had something that changed similar to this … She lost her job, could not afford vitamins and her protein source was McDonald’s hamburgers,” Ren-Fielding said. “She thought she was going the right thing, but when she entered she had such a bad vitamin one deficiency … She had night blindness.”
She went on, ”[SADI-S] It is a tool to help people adopt the lifestyle and healthier routines, simply receives long -term management and responsibility. “
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